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Home My WebLink AboutFEBRUARY 2 2017 BUILDING PERMIT APPLICATIONSuN.n- fi'dh AN N1-g'A figlw lf iu) NEW HANOVER COUNTY BUTLDTNG PERI,'IIT AppLrcAtrdt rvpr: CO{IERCIAL Ptaast a$r,tR Att QuasTro]ts Applrr 8LE rO yOUt pio)tct "ProjGct Rcspon:ibilitf No C6y\4,T((tC)l 6\ r^en,.iir'l^T9 Q r!+,r.r ij6Zo'xd^tl *bnr+ft9 t- ' APPIICAIIIIJ't<cgal v-' uib.r 6vabt (offrc. r,r.) APPLTCANT'S [A}'IT: DEVELOPER: PTO]ECT ADDRESS: occuPAitT/BUslilESS MnE : ProPErw oH Ei's ialiE ! ou Ei',S ADDnESS: ADORESS : EriAtL ADOiEss: PBO]ECT COTTACI (cha(t lll Exrsr co srrrcTto : I rlremrroil ! nruiiiiiifr accEssoRY STiUCruiE: ;fffi IH"'ffi *t*3:Ln'iruH*::Hj;"fr gfr l'J^',!'J,ff ^Rl..iTjlfl veff 6 Ex cofiFrRUCrrO{: I rn:cr [Er sTnucruRE I rrcr rnlcx ! sxrr.r. I upFlr El ,, a ,o* sTrucIUiE PIION{E tl Pronr r:(! sr: P}O E I: PlO E T: Dlrrt' l- /* zD/ a o/ rf upFrr - rhe sh.ll pern'it *t 1:1.U29. e O l:jl:::]:n_thls Bui'Idins fiw frors rurs A ou0r6t or oconlncy usrt flws [B ...., tf Y.t, ,r8t ^ror DEslel EXGN DE'IOI rr.r tht Prcrrio0s P rEgSlo lt3 PtorESStoMr: Occuprnty TDrl _ Ih.t i. tha ar Occupancy t)Dc? PH: - tc REG o: -__ Ptl: _ C REG tr orsG sd h tlJs 3hEfit?flto r n*'aogorry roHi rn n" DESCRIPTIO'{ OF b lood or bcr,.rtgct DtscuuuER: I h€cby.at'ty thsl sll anrl local lax/6 and odir5lEas laxl lel t'#ffiflgiifpH$fiSFs'' Code snd s .ttrr ' OF SIORES: I s FLooRs: - SIGNA TOTAI- AREA SO FT:- SQFTPER FLR: ToTAr SO FT UNDER ROOF: 4 iz\ 1. rrt * Or SrnUCtUnE ACRES DISTURBED: NEW IMPERVIOUS Af,EA: pRopERryusE: SFFEE ftnesnun^}n fiuencennr-e leouC f]rrr Eoxoo orxer I'AE* ffi HUi E P$[1[T[ffi*H,E*'ffi.,"," trtr#;i1ff Y:ffi FEAT.* " S€PARA]E P€RMTTS REOUIRED FOR ErICT. MECH, PT3G, GAS EOUIP, PREFAES T |NSERII.. pAylrEirrMETHOD: ICaSX [-.CXeO<lervrouToNHC) flemennatwREssEtuc^rtsA floscoren roeofrlcE rrSE oNLY)ZONE:-OFIICER, = , =,= SETBACKS: F: LH: RH: ,,_ ***tt' Approval:- Clty:-oATE: FLOODT - _]afEG Avr--E EGr ltND DlsruRBttlc Enypfiyss I xp SO FT D(STltlc IT PERVTOUS Attl SQ FT EHo ffi f,ffi ffi u:*;.'ffi IHJ3fl Lffi'Xnff :*H-:*T,ffi Bffi;ffi ffitmffi '#Y;*",b rrL- d.rw lrdllv d hlElD. s- arhin ur6 aD. litn4.E d e -dar.hion ol aiy tdlry q het!. 6; Albtb. lltD S]: iatrlbuyv.d"uff.r.tOltO.n Otlte.f;i --- - ' ' - r' I'r'v'' roTALpRoJEcrco*, k,9f 9 t D BUil.-oNG HE|GHT: toFur{rrs: L TJTCTCII- lr *o*,r-ffi0-o" '-190 b/ >- \..ilzlt- t!:t APYLTLA||UIU ,lfE: ]lc>ttrErlltAL Apprralon p r r A s r A N s w r R ^ :;:: ::Hl,'#*f ff ffi T{ "p5 \ eg1.l- l6[tb CITY: APPLICANT,S NAMT; PRO'ECI ADDRESS; SUBDlVISION: PROPERTY OWNER,S NAIVIT: OWNER,S ADDRESS: CONTRACTOR ADDRTSS: TMATT ADDRTSS: PROJECT CONTACT PERSON [XISTING CONSTRUCTION: D Aheration D Renovation D al Repairs D Det Garage (SF)- D Pool (Sr) D Deck (Sr) PHONT # PHONT D Porch (SF) D Storage Shed (Sf) fJ orher (sr)--- CITYr L, NEWCONSTRUCTTON. MEre.tNewResidence D AdditiontotxistingResrdence D Relocation 5, 'TTPLEASE CHTCK AND ANSWER BELOW ALI THAT APPLY TO YOUR PROJICT.T' tr D D Att Gara8e (Sf )- Sunroom (SF) Greenhouse (St) - ls the proposed work changing the existing lootprint? D Yes D -No rorAt sQ FT ,NDER Roor {/or proposed.rru, 'r"",I -" \l4Ef unheated: ToTAL PROJECT CoSr (Less rort, 5 I 0O K ls the proposed work changing the number ol bedrooms? D Yes fl ttto ls any Electricat, Plumbing or Mechanical work being done to the Accessoly Structure D Yes D Ho ll the project is a Relocation, is there a Nalural Gas Line on the currenl site? D Yes fl No ls there Electrical Power on this Building? D Yes F ,o Property Use/ occupa n rrfi Single Family D Duplex D Townhouse DISCLAIMIR: I hereby c€rtify thal all the inrormation in lhi5 applitalion is correci and all worl will comply with the Building Code and all oth€r applicable Statt and lo laus and ordinances and regulation5. The NHC Development Servites Cenler will be nolilied ol any chan8es in t plans and sPeciricalions ot chan8e in contraclo rnJormalion. "'NO-I[: Any wotl perlolmed withoul lhe apProptiale permits will be in Code and subject lo rrnes up to 5500.00"' "Licensed QuoliJiet"Prinl Nome ls the property located in a {loodplain? D Yes & -" txistinglmpervious ar.", ll22 sqn New tmpeyvious Area: lTfO to" Existint Land Disturbing rermi( D Yes D No Total Acres Disturbed: New lmpervious Area: I l L/ Sq ff txlsllnt L I WATER: ,MCtOrO D Communrlysystem D PrrvateVyetl E Central Well E Aqua StWtR: T{:ru^ E Communitysystem E PrrvateSeptrc D C€ntral Septic E Aqua Zone: ==_-- Ollicer:Setbacks lr) - (LH) - IRH) - (B) -Approval: Cornment: City: __ Date:rlood: (A) (v) - (N)Bf Ii 2lt= Permit f ee: $ r(\1 Owner/Contractor:Signature: A|'YL'LA' 'U'V ' ITE.- '1C)IIJC,!T I tAL PI.EASE ANSWIR AtL QUESTIONS APPI,ICAEtT TO YOUR "Project Responsibility"""'bo*'tY)l[-ii' APPLICANT,S NAMI: PRO'lECT ADDRESS: SUBDIVISION: PROPTRTY OWNER,S OWNER,S ADDRESS: CONTRACTOR ADDRTSS: TMAIT ADDRTSS: PROJECT CONTACT PERSON EXISTING CONSTRUCTION: E Alteration E Renovation D ral Repairs a CITY NEwcoNsrRUCrloN. [/r,"., New Residence D additionto txistingResidence D Relocation -), "IPLEASE CHECI( AND ANSWER BELOW A[[ THAT APPLY TO YOUR PROJECT.iA D att Garage (Sf) - E Sunroom (SF) - D Greenhouse (SF) D Det Garage (SF)- D Pool (sr) -.--.--- D Deck (Sr) -- ls the proposed work changing the existing lootprint? D Yes f) No- TorAL se FT SNDER Roor (/or proposedwork) Heare o, H( f Unheated: /0O TOTAT PROTECf COST (Less Lot): 5 loo P( ts the proposed work changing the number ol bedrooms? D yes D tto ls any Electrical, plumbing or Mechanical work being done to the Accessory Struclure D Yes O ttto t{ the project is a Relocation, is there a Natural Gas Line on the culrent site? D Yes D No ts there Electrical Power on this Building? D Yes F "o Property Use/ Occupa^.r, $ Description ol Work: Single Family D Duplex O Townhouse aP: 2.8210? [oT i: PHONT # ztP uc € ST PHONT to- PHONT D Porch lstl / bo D Storage Shed (Sr) D otner (sr) 4 L > nj c.*l *ztiz- laws and ordinances and regulation5. The NHC Development 5ervices center will be nolilied ol any changes in the aoyGved plans.and *":'l'ttt:::::t **:.': tontt"t',o' inlorma1ion....NoTt:Anyworkperlormedwilhou1.lheapPIop'ial€permitswillbeinviola1ion,i.l.. Owne r/Contractor : "Lrcensed Quolilier"Pr inl {loodplain? Dls the property located in a txisting lmpervious Area:Sq Fi New tmpervious Area: lf@ tr" wATER: ff cpun n StwER: ff creun n Zone: _ Olficer Approval: __ City Comment: 7TJ,t Communtty Syslem Community Syslem Existing Land Disturbing Permit: D Yes D t'to n Privale well f] Central Well E Aqua D Pilvale Septrc D Central Seplic D Aqua (r) =- (LH) - (RH) - (B) - Setbacks Date:tlood: (A) (v) - (N) - Bf ['r2ft= Permit f ee: $ Signature: )olT- lcza Application Number (office use) ,lzvlry torf: I l'l px6xs s 910-794-8699 NEW HANOVER COUNW BUILDING PERMIT. O''t, oJl APPLICATION TYPE : RESIDENTIAt PLEASE ANSWER ATL QUESTIONS APPLICABLE TO YOUR PROJECT "Proiect Responsibiliq/' T/A Stevens Fine Homes ctTy. Wilmington 21e. 28409 AppgcANT,s NAME: Stevens PROjECT ADDRESST 1 sUBDtvtstoN: The Creek at pROpERTy OWNER,5 11apyg; Stevens Building Company OWNER,S ADDRESS: 5710 Oleander Drive Suite 200 c|Ty: Wilmington 71p. 28403 ls the proposed work changing the existing footprint? tr yes d ruo ToTAt sQ FT UNDE R RooF Vor proposed *orfl ueat"a, A rl?l unh."r.d' siq TOTAT PROJECT COST (Less Lot): S'120,000 lsthe proposed work changingthe numberof bedrooms? D Yes d lo lsany Electrical, Plumbint or Mechanicalwork being done to the Accessory Structure E Yes d o lf the project isa Relocation, istherea Natural Gas Li;re on the current site? E Yes E No ls there Electrical Power on this Building? E Yes El-No Property Use/ Occupancy: d Single ramily E Duplex E Townhous€ Des.ription of work: New Residential Construction coNTRAcToR: Stevens Building Company s1p6 u6git5s s. 31626 ADDRESS: 5710 Oleander Drive Suite 200 61n. Wilmington Sr: NC ap. 28403 EMATL ADDREss: snicholson@stevensfinehomes.c,om pnolrr:910-794-8699 pRoJEcT coNTAcT p6p591; Staci Nicholson pxorur 91-332-8515 EXISTING CONSTRUCTION: tr Alteration n Renovation E General Repairs NEW CONSTRUCTION: d Erect New Residence Ll Addition to Existing Residence ! Relocation *,}*PLEASE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PROJECT*I'I' d ettrl"r.e"lsel 111 E Det Garage (sF)ill Porch (SF)Ioo E Sunroom (SF)tr Pool (SF) tr Deck (SF) tr Storage Shed (SF) E creenhouse (sF)tr other (sF) laws and ordinances and regulations. The NHC Development Services Center willb€ notafied ofany chanSes in the plan5 and specifications or chanSe in contractor info rmataon. "'N OTE: Any work performed without the appropriate p€rm its will be in violation of the NC to fines up to S500.00*rr owner/contractor: Craig Stevens Signature: "Licensed Quolilie/' Print Nome lsthepropertylocatedinafloodplain? E ves d to Existing lmpervious ar"", &lAl sq rt New tmpervious Are", &l )l sqr, WATER: d CFPUA tr Community System E Private Well E Central Well E Aqua SEWER: d CFPUA tr community System E Private septic E central septic D Aqua Zone:Officen Setbacks (F) _ (tH)_ (RHl _ (B) _ Approval: _ City: _ Date: Comment: Total Acres Disturbed: 1/3 Existing Land Disturbing Permit: E Yes E No l,lsLi-Flood: (A) _ (vl _ (N)BFE+2ft= PermitFee:S ') ' ' NEW HANOVER COUNTY BUILDING PERMIT APPLICATTON TYPE: RESIDENTIAt PIEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PROIECT "Proiect Responsibility'' an4D>/ nO7 Application Appt-tCANT,S NAME. Parker Construction Group, LLC. Number (office use) Date. 1120117 ;:2E:105-PRoJECT ADDRESS: l l!vv' vllvE crY: suBDtvtstoN: Land ror #. 29R zlP: -"--- pRopERTy owNER,, norr. Neill & Linda Currie PHONE #; 7 7 2-532-3228 .WNER,S ADDRESS. 1027 O rr. Wilminffi coNTRAcToR: Parker Construction Group, LLC. r.,G uCrrust *: ffi \FXn ADDRE'S: PO Beach sr. NC ztp 28460- EMA|rADD --l;;NE 91c-2s6-4229 pRoJEcr coNTAcr pERsoN. Robert Jarman PHONE. 919-771-8531 EXISTING CONSTRUCTIONT E Alteration E Renovation E General Repairs NEW CONSTRUCTION: E Erect New Residence E Addition to Existing Residence E Relocation ***PLEASE CHECK AND ANSWER BELoW Att THAT APPTY To YoUR PRoJEcT*** E Att Garage (sF)_E Det Garage (sF)E Porch (sF) E Sunroom (SF)E Pool (sF) E Deck (sF) E Storage Shed (sF) E Greenhouse (SF)-E Other (SF) ls the proposed work changing the existing footprint? E yes E tto TOTAT SQ FT UNDERROOF Vor proposed workl Healedi Unheated: ToTAt PROJECT cosr (ress t-ot): Sl'000'000 ls the proposed work changing the number of bedrooms? E yes E no ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure E Yes E] No lf theprojectisa Relocation, istherea Natural Gas Line on the current site? E Yes E No ls there Electrical Power on this Building? E Yes E No Property Use/ Occupancy: E single Family E ouplex E Townhouse Description of work. General exterior reFjairs: Rdplace rool, sandblast/stucco chimneys, paint exterior ol house, replace pool tile/coping/plaster. laws and ordinances and regulations. The NHC Development Services Center will be notified of any changes in the approved plans and specifications or change in contractor information. +**NOTE: Any work performed without the appropriate permits will be in violation of the NC State Bldg Code and subject to fines up to 5500.00*** owner/contractor Robert Jarman "Licensed Quolifiel Print Nome ls the property located in a floodplain? E yes EI Existing lmpervious Area: _ Sq Ft SiCn"rur"t Total Acres Disturbed: New lmpervious Area:Sq Ft Existing Land Disturbing Permit: E Yes E ruo WATERT E CFPUA E Community System E Private well E Central well E Aqua SEWER: I CFPUA E CommunitySystem E Private Septic E Central Septic E Aqua setbacks (F) _ (tH) _ (RH) _ (B) _ Approval:_ City: _ Date: Comment:85 Flood: (A) _ (v) _ (N) _ BFE+2ft= Permit Fee: S NEW HANOVER COUNTY BUILOING PERMIT APP LICAT ION rYPEi RESI DENTIAL PLEASE ANSWER ALL QUESTIONS APPLJCABLE TO YOUR PROJECT "Proiect ResPonsibilitY" 0 !-€a*J t:< ^e ^-i <.*€S i(or-'-*n; .-..:<./.,l{'*-5 I, -fftff"z" Number (ofJice use) APPLICANT,S NAME: PROJECT ADDRESS: l<*l <r SUBDIVISION: PROPERTY OWNER'S OWNER,S ADDRESS: 3ts- 3>> I z[: 28q,r 6 BIDG LICENSE fl: 7T 1K IT D t, *Gr-, (c) \ .* o-+L.^'.- L <: ^G "-./.'' PH.NE:"tro- S)-.- I tf \ EXISTING coNsTRUCTloN: tr Alteration n Renovation ! General Repairs -,,.NEW CONSTRUCTION: Wrecl New Residence ! Addition to Existing Residence E Relocation ..- 'lr'*PLEASE CHECK AND ANSWER BETOW Att THAT APPTY TO YOUII PBO[qr"*]' iltt c"r"ce (sr) 5 I I n Det Garage (sF) - WPorch lsF 7e1 ! storaee shed (SF) *K*ou S>€ ls the proposed work changing the number of bedrooms? E Yes ! ttto ls any Electrical, Plumbing or Mechanicalwork being done to the Accessory Structure E Yes n No lf theprojectisa Relocation, istherea Natural Gas Line on the current site? E Yes ! No ls there Electrical Power on this Building? E Yes E No Property Use/ occu pancy:dlrngle ramily fl Duplex fl T Description of Work: ADDRESS: EMAIL ADDRESS: PRO.,ECT CONTACT PERSON: ! sunroom (sF) q2 n Pool (sF) E Greenhouse (sF) - tr Deck (SF) Is the proposed work changrng the existing footprint? ZI Yes n TOTAL Sq FT UNDER ROOF lfor proposed work) Healedi rOrAt PRoJEcr COsr (Less Lot):S 2 3c- .'O O O--------:7- rrnheated: / 11 ct_7-- o -.5)o -si*s- DTSCIATMER: I hereby certir that all the information in this application is correct and all work will comply with the State Building Code and all other applicable State and local laws and ordinanc€s and regulations. The NHC Development Servi.es Center will be notified of any changes in the approved d spelililrlj !ge jn-contractor 'ect !a fines up to S500.0E** Owner/Contractor: "Licensed QuoIlJiet" SignatuJ ls the property located in a floodplain? A ,", K Existing rmpervious or.., f ILl6 C ,o*)( TotalAcres Disturbed: / / t zone: Officer:setbacks (F)_ (tH) _ (RH) _ (B) _ Approval:- City: - Date: New tmpervious Ar .", 46Zrr ft Existing Land Disturbing Permit: E Yes D t',to wATER: E creSA W'co-^unity system E Private well E central well ! Aqua-/' sEwER: AZCFPUA E communitysystem E Privateseptic E central septic ! Aqua Comment: Cri-l'r+ - Flood: (A) _ (v) _ (N)BFE+2ft= Permit Fee: $k<(.BoD NEW HANOVER COUNTY BUItDtNG PERMIT AP P LICATIO N TYPE : RESIDENTIAL PLEASE ANSWER AtL QUESTIONS APPLICABTE TO YOUR PROIECT "Project Responsibllity,, 709,lo)7 L7 -236 Application Numb€r (otfice use) p21s2 112512017AppL1CANT,S NAME; Southern Exposure Sunrooms pROJECT ADDRESS: 7'19 Chablis Way SUBDIVISION: PROPERTY OWNER',S NAME: ulqay , Peter & Nicole OWNER,S ADoRESS: 719 Chablis Way 61ry. Wilmington 71p. 28411 rc1x; 131 pHoNE fl. 9'10-233-7027 61ry1 Wilmington 71p 28411 Plantation coNTRAcroRr qouthern Expsoure Sunrooms s166 U6gr{56 g. 68138 499tg55; PO Box 12007 crTy: Witmington st: NC Ztp. 28411 g1y4114pppp55;john@southernexposuresunrooms.com _-pggx5.910_793_2762 pssxsl 910-793-2762 EXISTING CONSTRUCTION: I Alteration D Reno\ration E General Repalrs NEW CONSTRUCTION: E Erect New Residence E Addition to Existing Residence n Relocation I.**PtEASE CHECK AND ANSWER EEIOW ALL THAT APPLY TO YOUR PROJECT*** ! Att carage (sF) _E Det Garage (SF)_D Porch (SF) D Sunroom (5F)tr Pool (sF) tl Deck (sF) tr Storage Shed (5F) I Greenhouse (SF)El other 1sf; fpnreP fio"N ls the proposed work changing the existing footprint? D yes I No TOTAT Sq FT UNDER ROOF (for proposed wo*) Heated:Unhg2lg{;288 TOTA! PROJECT COST (Less Lot): $8000 ls the proposed work changingthe number of bedrooms? fl ves E No ls any Electrlcal, Plumbing or Mechanical work betng done to the Accessory structure fl yes E No lftheprojectisaRolocation,isthereaNaturalGasLineonthecurrentsite?EyesENo ls there Electrical Power on this Euilding? E Yes fl No Property Use/ Occupancy: EI Singl€ Family D Duplex E Townhouse Descrlptlon of work: Build 12x24 screen room on raised wood foundation. laws and ordlnances ahd regulations. The NHC Develophent Services Center wlll be notl{ied of any approved plans and spe.lricailons or change in contracior inlormatlon. 'NOTE: Arry work performed without the appropriate permits willbe in vlolation of the Cod€up to S5oo.oo... owner/contractot: John Hickey Sitnature: 'Licensed Quoltiet' prlnt Nome lsthepropertylocated ina floodplain? O Yes E No fxlstlng lmpervious 1196; 3770 5q p1 New tmpervlous Are3; 288 5q p1 Total Acres Dlsturbed; -007 Existing Land Disturbing Permit: E yes E No WATER: dl CFPUA E Community System E private We E Centrat Well fl Aqua SEWER: E CFPUA tr community system n private Septic E centralseptic EI Aqua setbacks (F)_ (tH) _ (RH) _ (B) _ Approvalr_ City: _ Date: Comment: Flood: (A) _ (V) -- (N) _ 8FE+2ft= Permlt Fee: S &fl'toj) L7 -202 APPLICATION urber (ofihe u3. ) PIO] ECI SUBDIVISI ON I CONTTACTOR: ADDRESS: El,tAIL ADDRESS: NEW HANOVER COUNTY BUILDING PERI{IT APPLTCA,Io TYPE, NESIDENTIAL PttA5E ll{518t Alt qUl'rMrS APPII(ABLI 10 Yqrn Pm]l(T "P.oJect Responslbllity" BLoCl( li LrcE sE t: Sf++6 Acco{,ir }! t{oU4b crrv: Ertri\lr sTr l'{CzrP:2gq5 { npl{E lr Qo- qsz-- ]s pmrir Jr Qlo-9sZ- 1tlSPRO]ECT CdITACT PERSON; EXISTTIG CO[sIRrrfiIOt{: f] ALTERATTON I nerWArroru [ eeHEUt arrlrns I nrrocmra't ZOI{E: _ oFFICEI;LHr RH:_ B: tr any ELECIRIGAI, PLttl9Dl6 or ltECHOltClf, tlork geing Doll. to th€ A.<.3sory St.{Gtur€f I V"t fi Xo . If the project is a Relocatlon, i.s there a t{atural Gas llne orl the (urrent slte? EVei flnors there Electri.al Porer on thls Butldlngi ves { lo Gr{ER/qnrrnArro*, Llq.il Hlrnt\ srGMruRE: I l/\- .**.*,..*..'**,,ffi+1t*.,*r.,,+,*}7{*tii**'ll.**{**':}*.,*+.a* *a*taa *t+r+*rrttt **ta**trl**+tt.i+a.r*1*ra*a:}.a +:la,t I t**'tt+ + rs rHE pRopERTy LocArED r l rloopuu? l--l vts M * ^ ,\ EXrsTr G T PERWqJS AiEA: D SQ FI tOtil aCntS DISTURBED: . 2Q r{B{ roERwq,s li r 3la7( sq n Exrsl t iD DrsruRBrtG PER[rr: f] vEs EE xo L/\ uren, Kl crpun E co+lJNITy svstx f] prrvrtr ttrlr- f] cENTRAT ffLt snrrn: fficrcur fr ar*t*. seerrc [-rnrvarr sartr. I a*,',n rrY svsrEu PREERTY t'SE / OC(IDAICY:SII{GLE FAI.ILY ureux I ron*ousr DESCRtPltol oF lonx; Dlscll /Ee Ih.r.b, r.r{trha.r hhimuon h hlr +rt rk r 5 cod!d!r, d u.*vil..n$y*itl tr. 6b! 9tl0.1h3 odc lld d ollcr rgrlc* sts trrl lo..l laY.. rnd ddtnanca5 md,elEtalbl,ts llra itHC lrrihCnlnl Ealtlc.s @ntr lll! !G rDlEd otfly lirtCpr b rt€ qD.oE6 *ns tmd .padllcabnad drE tt drlt .htor co|l'&br hb|'uior. ''[{OIE: Atty $,brt P.rlofi.{ \t?O tr6 ADp.oDd.r rbrrni! rS b" h Vbl.tlon oi i,!. l{C S.l Bld! Cod! &d eruld b rh.r aD'Io a6o0-dr" .I' StPARAII PE8fiII5 RTQUINEO TOR tIT(I: ru(H, PI86' GAS IQUIP, PiIfABS E II{sERIs "' pa].,,rr r rETHoor f!.nsx ffi.r*.t (p yaBLE ro rtr; I rrr-r accanr E rtrvrsn florsconr +r*ratr '|* ri {r*a a:r* *arr*a*rt*rt t*t *lt* * '* '}* * t} *l **+ i,} *!t, +***a*:}'rr r!Nt*}******1*,r*t**!++t*xtl'l* (roi oarral rJst ortY) SETBACXS: F: Bt ErZft= xtvtsto 0 It 64/11/t2 ArDnoval: Cltv: DATE: coment l #o:, itrFiaE APPLICANI 'S DEVELOPER r PROPERTY O{'IER'S oIttEi's ADoiEssr IEr CO},ETRUCIITI,ri s rnaar lru f,EsrDE]Iff or I mrrrol ro Dlrsrrm RESTDEICE ..PLEASE CHECT A}D AII${CN IELOI{ ATI IHAI NPPLY TO T/U'I PNO]ECT:N;;;; jsa5 ;- *ij;;,;; " -:;' u(**., rlb ,, fl'summn - sF f] poor - sr f] sroRaer SHED - st f]etrerxoosr [-l orcx sf oIHER: TOTAL XEATED SA FI ! JAAC) TOIAL SQ FT UI{DEN NOOT : 1L? & TOTAL AREA SQ FT: TOTAL PRO1ECI COST {r... td1 | l, ?SO/@ t oF SToRIES: J DATE I PHoirE fr qlU-[t, -'{r-ts zrpr 7Bt-il { LoI tr A PHol,E rr 1tO qSZjl!1S sT:t\t zrp: z€r45 \ F t-00D: Jr*rr rru, t+41 !,lAllE: